Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $34.28 / $85.66	Facility		$12.54	$34.28	$85.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $48.07 / $63.26	Professional		$34.28	$48.07	$63.26
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $31.85 / $31.85 / $31.85	Facility		$31.85	$31.85	$31.85
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Professional		$120.00	$120.00	$120.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.45 / $68.22 / $100.70	Facility		$60.45	$68.22	$100.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $49.80 / $96.48	Professional		$49.80	$49.80	$96.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $92.64 / $131.91	Professional		$92.00	$92.64	$131.91
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $100.70 / $100.70	Professional		$98.34	$100.70	$100.70
United Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $50.24 / $92.46	Professional		$45.41	$50.24	$92.46